High frequency neuromodulation system and method for reducing energy requirements

• US 9,694,184 B2
• Filed: 06/23/2016
• Issued: 07/04/2017
• Est. Priority Date: 06/29/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Hershey, Bradley Lawrence
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US15/191,278
• Publication Number:
  US 20160303380A1
• Time in Patent Office: 376 Days
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36062 Spinal stimulation
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36075 Headache or migraine
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/36196 Frequency modulation
• CPC Class Codes: A61N 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

An electrical neuromodulation system and method of treating an ailment of a patient using a neuromodulation device. Electrical modulation energy is delivered at a first frequency from the neuromodulation device to a first set of electrodes having a first combined electrode impedance. A second set of electrodes having a second combined electrode impedance less than the first combined electrode impedance is automatically selected. The electrical modulation energy is delivered at a second frequency to the second set of electrodes, wherein the second frequency is greater than the first frequency.

Claims

1. A method of treating an ailment of a patient using a neuromodulation device, comprising:

delivering electrical energy at a first frequency to a first set of electrodes having a first combined electrode impedance;

receiving a signal to switch from delivering electrical energy at the first frequency to delivering electrical energy at a second frequency greater than the first frequency;

responsive to receiving the signal to switch, automatically instructing the neuromodulation device to deliver the electrical energy at the second frequency to a second set of electrodes having a second combined electrode impedance less than the first combined electrode impedance instead of at the first frequency to the first set of electrodes; and

delivering the electrical energy at a second frequency greater than the first frequency to the second set of electrodes having a second combined electrode impedance less than the first combined electrode impedance.

2. The method of claim 1, further comprising:

receiving a value corresponding to the second frequency from a user; and

automatically selecting the second set of electrodes in response to the received value.

3. The method of claim 1, wherein the first frequency is less than 1 KHz and the second frequency is equal to or greater than 1 KHz.

4. The method of claim 1, wherein the first frequency is in the range of 2 Hz-250 Hz, and the second frequency is in the range of 1 KHz-50 KHz.

5. The method of claim 1, wherein selecting the second set of electrodes includes adding at least one electrode to the first set of electrodes without subtracting any electrode from the first set of electrodes.

6. The method of claim 1, wherein selecting the second set of electrodes includes replacing an electrode of the first set of electrodes with another electrode having an individual electrode impedance that is lower than an individual electrode impedance of the replaced electrode.

7. The method of claim 1 wherein the first and second sets of electrodes are coated such that the capacitance of the first and second set of electrodes is increased.

8. A method of treating an ailment of a patient using a neuromodulation device, comprising:

delivering electrical energy at a first frequency to a first set of electrodes having a first combined electrode impedance;

receiving a signal to switch from delivering electrical energy at the first frequency to delivering electrical energy at a second frequency higher than the first frequency;

selecting a second set of electrodes having a second combined electrode impedance less than the first combined electrode impedance;

responsive to receiving the signal to switch, automatically instructing the neuromodulation device to deliver the electrical energy at the second frequency instead of at the first frequency; and

delivering the electrical energy at the second frequency to the second set of electrodes.

9. The method of claim 8, further comprising:

receiving a value corresponding to the second frequency from a user; and

automatically selecting the second set of electrodes in response to the received value.

10. The method of claim 8, wherein the first frequency is in the range of 2 Hz-250 Hz, and the second frequency is in the range of 1 KHz-50 KHz.

11. The method of claim 8, wherein an external remote controller or a clinician'"'"'s programmer performs the step of selecting a second set of electrodes.

12. The method of claim 8, wherein an implantable pulse generator performs the step of selecting a second set of electrodes.

13. The method of claim 8, wherein selecting a second set of electrodes includes adding an electrode.

14. The method of claim 8, wherein selecting a second set of electrodes includes replacing an electrode of the first set of electrodes with another electrode having an individual electrode impedance that is lower than an individual electrode impedance of the replaced electrode.

15. The method of claim 8, wherein the first frequency is less than 1 kHz and the second frequency is greater than 1 kHz.

16. A method of treating an ailment of a patient using a neuromodulation device, comprising:

delivering electrical energy at a first frequency of less than 1 kHz to a first set of electrodes having a first combined electrode impedance;

receiving a signal to switch from delivering electrical energy at the first frequency to delivering electrical energy at a second frequency greater than or equal to 1 KHz;

selecting a second set of electrodes having a second combined electrode impedance less than the first combined electrode impedance;

automatically replacing an electrode of the first set of electrodes with another electrode having an individual electrode impedance that is lower than an individual electrode impedance of the replaced electrode to provide the second set of electrodes;

responsive to receiving the signal to switch, automatically instructing the neuromodulation device to deliver the electrical energy at the second frequency to the second set of electrodes instead of at the first frequency to the first set of electrodes; and

delivering the electrical energy at the second frequency to the second set of electrodes.

17. The method of claim 16, further comprising:

receiving a value corresponding to the second frequency from a user; and

automatically selecting the second set of electrodes in response to the received value.

18. The method of claim 16, wherein the first frequency is in the range of 2 Hz-250 Hz, and the second frequency is in the range of 1 KHz-50 KHz.

19. The method of claim 16, wherein the ailment is chronic pain.

20. The method of claim 16, wherein the electrodes are implanted within the patient.